5.11.2019Liisa-Maria Voipio-Pulkki

Director General, CMO

2nd ICPerMed Workshop

Madrid, Spain

Strategic challenge of the

sustainable impementation of

PM research and innovation

outcomes

5.11.20192

The public authorities shall guarantee for

everyone adequate social, health and

medical services and promote the health of

the population.

The Constitution of Finland (731/99), 19 §

HEALTH SECTOR GROWTH STRATEGY

- Direction for Developing the Ecosystem

Finland to be• The source and user of versatile and high quality scientific research,

inventions and innovations.

• A preferred global partner in public-private collaboration in research and

innovation.

• A dynamic operating environment for new companies.

• …

• A model country of sustainable development and

implementation of personalized healthcare.

VIDEO: https://youtu.be/o5CSZK_6UFM

WHAT THE FINNISH GOVERNMENT HAS DONE TO PROMOTE

SUSTAINABLE IMPLEMENTATION OF PERSONALIZED MEDICINE

Finnish governments are systematically investing in the

infrastructure for personalized medicine research, innovation,

education and data management clusters/centers of excellence.

• Establishing National

• Cancer Center FICAN

• Genome Center

• Drug Development Center

• Neurocenter

• Enhancing the joint activities of the biobanks

• What about implementation in the health system?

5.11.2019 Ministry of Social Affairs and Health

20 Hospital districts and 5 medical universities have

established the Finnish Cancer Center, FICAN, backed by a

Governmental Decree.

Five regional cancer centers are in charge of the operations

coordinated by a joint coordinating unit.

Combines high-quality research and education with

prevention, diagnostics and treatment to create a

nationwide cooperation and innovation environment.

Safeguards equal access to high quality cancer treatment

also in the future – keeping PM in mind.

Fully operating in 2019 (KickOff 22nd of Oct 2019).

CLUSTER OF EXCELLENCE – FINNISH CANCER CENTER, FICAN

Finland – one of the best cancer patients survival rates;

Lancet Oncology, 2007, and 2014.

5.11.2019 Ministry of Social Affairs and Health

FICAN

FICAN East

Kuopio

FICAN WestTurku

FICAN SouthHelsinki

FICAN NorthOulu

FICANCoordinating unit

FICAN MidTampere

• We are aiming to establish, by the end of

2020, a national Genome Centre and a

legal framework that will enable genomic

data to be used effectively in healthcare,

research and development.

• We want to make sure that everyone has

an equal opportunity to benefit from

the use of genomic data.

FINLAND’S GENOME STRATEGY PUBLISHED IN 2015

• The Genomics Policy Brief is a report

produced by the European Observatory on

Health Systems and Policies, tailored to the

needs of health policy makers for informing

them about available evidence and best

governance practices.

• The draft genomics policy brief was presented

in Brussels during the Finnish EU Presidency

event on “Genomics and Personalized

Medicine in Public Health” 10th October 2019.

5.11.20197

DIGITALIZATION AND ACCESS TO DATA

HAS CHANGED IT ALL - AND WHAT THEN?

5.11.2019 Ministry of Social Affairs and Health

Primary use

Secondary use

Services for a client or a patient

Scientific research

Development and innovations

Teaching

Statistics

Knowledge management

Authorities’ steering, supervision, planning and reporting duties

Social and health

data

Secondary use of social and health data

Operation of the new data permit authority will be launched in 2020

Social and Health

Data Permit Authority

The following controllers will provide access to data specified in the Act through Findata

Social and health care

operating units

National Institute for Health and Welfare

(THL)

Social InsuranceInstitution

(Kela)

Finnish Centrefor Pensions

(ETK)

National SupervisoryAuthority for

Welfare and Health Valvira

FinnishMedicines

AgencyFimea

Population Register Centre

Data saved in Kanta services

StatisticsFinland

Finnish Institute ofOccupational Health

Regional StateAdmin. Agencies

Social and health sector management

Social and health careprofessionals

Social and health sector service providers

ICT companiesPharmaceutical

companiesStartups

Developmentorganisations

Research institutesand universities

Social and health serviceclients, citizens

Authorities steering socialand health service activities

Secondary use of data will benefit the entire society

ENABLING LEGISLATION

Publichealth

Nationaleconomy

PERSONALIZED MEDICINE WILL TRANSFORM HEALTH

SYSTEMS – DISRUPTION FOR THE BENEFIT OF ALL?

Building a sustainable PM ecosystem

that delivers is a joint venture of citizens,

companies, authorities and health care

providers:

• Legislation and ethical principles =>

established procedures

• An open, innovative environment for PPP

• Professional excellence (medical, legal, ICT)

• Dialogue with the health system and public

health experts / opinion leaders

• Trust – yes but between whom?

How we really should keep scoreCourtesy of Dr. Mark Daly

Kardiokompassi (Widen, Ripatti)

Delivering risk information to

Individuals induces lifestyle changeMobile microscopy (Lundin)

State of the art AI/microscopy delivered in Africa

ISM in leukemias

500 patients fully evaluated

50 have had therapy guided

by results!

Liisa-Maria Voipio-Pulkki

liisa-maria.voipio.pulkki@stm.fi

Ministry of Social Affairs and Health

Internet: stm.fi

Twitter: @MSAH_News

DATA-DRIVEN INNOVATIONS ARE

MOONSHOTS OF THE 2020´S.

CONTINUE TO EXPLORE THE UNKNOWN!

SUSTAINABLE IMPLEMENTATION OF

PERSONALIZED MEDICINE IS ONE OF THE

(MANY) STRESS TESTS OF MODERN HEALTH

SYSTEMS.

- significant health problems

- solutions with added value

- availability to all in need